针刺夹脊穴联合体针治疗急性脑卒中弛缓性偏瘫的疗效观察OA

Objective To observe the clinical efficacy of acupuncture at Jiaji(EX-B2)points combined with body acupuncture in the treatment of flaccid hemiplegia after acute stroke.Methods A total of 70 patients diagnosed with flaccid hemiplegia after acute stroke admitted to the inpatient ward and outpatient clinic of Hubei Provincial Hospital of Integrated Chinese and Western Medicine from January 2023 to January 2024 were selected as study subjects.The patients were randomly divided into an observation group and a control group using a random number table method,with 35 cases in each group.Both groups received conventional internal medicine treatment and modern rehabilitation training.The control group received body acupuncture in addition to conventional treatment,while the observation group received acupuncture at Jiaji points in addition to the treatment given to the control group.Both groups were treated continuously for 4 weeks.After treatment,clinical efficacy was evaluated in both groups.Changes in traditional Chinese medicine(TCM)syndrome scores,National Institutes of Health Stroke Scale(NIHSS)scores,and Fugl-Meyer Assessment(FMA)scores,as well as Barthel Index(BI)scores,were observed before and after treatment.Changes in serum levels of platelet(PLT),D-dimer,and fibrinogen(FIB)were compared between the two groups before and after treatment.Results(1)During the study,1 case was lost to follow-up in the observation group and 3 cases in the control group,resulting in 34 cases in the observation group and 32 cases in the control group being included in the efficacy analysis.(2)The total effective rate was 94.12%(32/34)in the observation group and 78.13%(25/32)in the control group,with the observation group showing significantly better efficacy than the control group(P＜0.05).(3)After treatment,TCM syndrome scores,NIHSS scores,FMA scores,and BI scores were significantly improved in both groups(P＜0.05),and the observation group demonstrated significantly greater improvements in TCM syndrome scores,NIHSS scores,FMA scores,and BI scores compared with the control group(P＜0.05).After treatment,the PLT,D-dimer,and FIB levels were significantly improved in the observation group and the control group(P＜0.05),but there was no statistically significant difference between both groups(P＞0.05).Conclusion Acupuncture at Jiaji points combined with body acupuncture in the treatment of flaccid hemiplegia after acute stroke can effectively alleviate clinical symptoms,improve neurological function,thereby helping to promote the recovery of limb motor function and enhancing rehabilitation efficiency,demonstrating significant clinical efficacy.